Prevalence of Multi-Resistant Microorganisms and Antibiotic Stewardship among Hospitalized Patients Living in Residential Care Homes in Spain: A Cross-Sectional Study

Antibiotics

Pablo Lardelli-Claret¹  LuisMiguel Martín-delosReyes¹  Eladio Jiménez-Mejías¹  Elena Moreno-Roldán¹  Virginia Martínez-Ruiz¹  AntonioJesús Láinez-Ramos-Bossini²  Alberto Benavente-Fernández³  Jairo López-Gómez³  Marta Rodríguez-Camacho⁴  Maríadel Carmen Valero-Ubierna⁵  Mario Rivera-Izquierdo⁵ 

[1] Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain;Programme in Clinical Medicine and Public Health, University of Granada, 18016 Granada, Spain;Service of Internal Medicine, Hospital Universitario San Cecilio, 18016 Granada, Spain;Service of Neurology, Hospital Universitario San Cecilio, 18016 Granada, Spain;Service of Preventive Medicine and Public Health, Hospital Universitario San Cecilio, 18016 Granada, Spain;

关键词: multidrug resistance;    care homes;    nursing homes;    antibiotic stewardship;    hospitalization;    elderly;   

DOI  :  10.3390/antibiotics9060324

来源: DOAJ

【 摘 要 】

Antimicrobial resistance is a growing global health problem. Patients living in care homes are a vulnerable high-risk population colonized by multidrug-resistant organisms (MDRO). We identified a case series of 116 residents of care homes from a cohort of 540 consecutive patients admitted to the internal medicine service of our hospital. We performed early diagnostic tests of MDRO through anal exudates in our sample. The prevalence of MDRO colonization was 34.5% of residents and 70% of them had not been previously identified in the clinical records. Previous hospitalizations and in-hospital antibiotic administration were significantly associated with the presence of MDRO. Our results emphasize the need to consider care homes in the planning of regional and national infection control measures and for implementing surveillance systems that monitor the spread of antimicrobial resistance in Spain. Systematic early testing upon admission to hospital services with a high prevalence of patients with MDRO colonization (e.g., internal medicine) could contribute to the adoption of adequate prevention measures. Specific educational programs for care home staff should also be implemented to address this increasing problem.

【 授权许可】

Unknown